A Feasibility Study of Mentalization Based Therapy for Antisocial personality disorder with substance use disorder in Norway- preliminary findings
Background: Antisocial personality disorder (ASPD) has serious individual and societal consequences. Among patients with substance use disorder (SUD) around 25 % has ASPD. There is a lack of European guidelines on how to approach this patient group in treatment and no significant evidence on effective treatment for this patient group has been published. Some promising pilot and feasibility studies have been performed with mentalization based treatment (MBT). In this pilot study we investigate MBT for patients with dual ASPD and SUD.
Aims: To investigate the feasibility of the research protocol of MBT for male patients with dual ASPD /SUD in an outpatient treatment context in a middle-sized city in Norway. Furthermore, to investigate if MBT can give positive outcomes on aggression and violence, substance use, symptomology, and personality functioning for male patients with ASPD/SUD.
Methods: Inclusion of minimum 30-maximum 75 male patients with ASPD/SUD. MBT is offered after the manual and contains weekly individual and monthly group therapy for one year, Adherence is ensured through video supervision by experts in the field, and ratings of adherence is performed by the psychotherapy laboratories at Ullevål University Hospital Oslo. Assessment is performed at baseline, 6 months, and at 12- and 24-months follow-up. Assessment instruments are CTQ, LPSF-BF, WSAS, AUDIT and DUDIT, PHQ, GAD-7 and PTSD-CL5.
Results: One year into the research project what does baseline data tell us about the patient group regarding trauma, personality functioning and PTSD? What are the preliminary findings on social and work functioning, depression and anxiety, aggression and alcohol and substance use? How many drop out from treatment?